Archive for September, 2013

Valuable Associates Reactivate Patients

Monday, September 30th, 2013

Busy practices that may be the right fit for you to join usually have a patient retention problem. Ideally a patient reactivation program should be implemented to coincide with your joining the practice. This allows the practice to reactivate patients that have not been seen on a regular basis in hygiene. This is often the case in offices that have more than enough patients; however, there is not enough capacity for one doctor to handle the entire patient base. Your joining the practice is the perfect opportunity to solve that problem.


When patients are reactivated, they should be scheduled for a hygiene appointment with the associate. The hygiene appointment is probably the most non-threatening appointment in the dental practice, making it the ideal way for you, the associate, to get to know several of the patients. It also allows patients an opportunity to get to know you, and hopefully you will form a long-term dentist/patient bond with all of them.


Once you’ve completed their reactivation hygiene appointment, future hygiene appointments should be schedule with the practice’s hygienists. Your employer should schedule you for no more than four reactivation patients a day so that you have time to perform other clinical procedures.

Ridge Resorption

Friday, September 20th, 2013

The phenomenon of ridge resorption has been well documented with the process beginning early during the post-extraction healing process. Once a tooth is extracted there is resorption of the unsupported bone or thin buccal plate which begins immediately and is evident clinically and radiographically as early as two-to-three months. The visible alterations in the soft tissue architecture are a sign of the underlying bony changes with resultant 3-dimensional shrinkage of the localized edentulous ridge form, which becomes a challenge in preservation of esthetic ridge contours for pontic site development or dental implant placement.


Due to tooth angulation and anatomic contours there are often dehiscence defects present on the buccal surfaces of prominent maxillary anterior teeth. This results in the absence of buccal plate or very thin bone upon tooth extraction. Multiple randomized controlled clinical studies have demonstrated the benefits of ridge preservation procedures in preventing the subsequent resorption of these sites. Preservation procedures either with bone replacement graft materials or growth factors such as recombinant human bone morphogenic protein-2 (rhBMP-2) or recombinant human platelet-derived growth factor-BB (rhPDGF-BB) prevent the natural process of ridge resorption and establish a foundation with adequate bone volume for dental implant placement.


These studies demonstrate the predictability of a preservation procedure at the time of extraction to provide adequate bone volume for dental implant placement. Without grafting there is significant reduction in ridge width occurring during the healing process, which compromises implant placement without additional bone grafting.



Dr. Marc Nevins is in the private practice of Periodontics and Implant Dentistry in Boston, Massachusetts. He is Assistant Clinical Professor of Periodontology at the Harvard School of Dental Medicine and is a Diplomate of the American Board of Periodontology. Dr. Nevins is the Associate Editor of The International Journal of Periodontics and Restorative Dentistry.


To access this article in its entirety please click HERE

New Dentists Looking for CE

Sunday, September 15th, 2013

We often hear about CE course offerings all over the globe for Dentists, however, if it doesn’t come at the right time for your schedule or budget doesn’t allow for travel, what options are there for a New Dentist?


Here’s a little secret. There is a way to get FREE CE at your convenience via Viva Learning. There is a link available on our homepage at where you will find FREE Online Dental CE. This links you to a variety of topics that are presented in the form of live and archived Continuing Education Webinars. Your homework is to check it out for yourself.


These can be completed online. At your convenience. Any time. Any where. The button on the bottom right shows Viva Learning.


Hopefully you find this helpful resource easy to navigate. We think it offers a great solution for CE.


If you have any questions or would like our assistance getting started feel free to add your comment to this thread.

ISO Adopts Notched Edge Testing Method

Thursday, September 5th, 2013

SOUTH JORDAN, Utah, August 2013 – The International Organization for Standardization (ISO) recently adopted Ultradent Products Inc.’s notched-edge shear bond strength testing method as a new standard. Ultradent created, refined, and has taught the notched-edge testing method over a number of years, resulting in a reproducible technique that many research organizations across the globe use today. After conducting a rigorous study involving over 20 independent organizations, ISO determined the notched-edge method superior to other shear bond strength testing methods previously available.
ISO Standard 29022 specifies a shear test method used to determine the adhesive bond strength between direct dental restorative materials and tooth structure, such as dentin or enamel. The method is principally intended for adhesives and includes substrate selection, storage and handling of tooth structure, as well as the procedure for testing. A key element within the testing is a notched-edge crosshead used to shear the bonded specimen with an even distribution of force. Testing results are more accurate with a notched contact because they will closely approximate adhesive shear strength, rather than peel strength produced by using a straight contact.
The ISO develops and publishes international standards to ensure that products and services are safe, high quality, and reliable. ISO protocol is employed by many organizations worldwide such as the Food and Drug Administration (FDA), who often grant approval only to products that pass ISO’s meticulous testing standards.
For more information on the notched-edge shear bond strength test, visit the ISO website at, or please visit, or call 800-552-5512.

Press Release provided by Ultradent Products, Inc.

Clinical Blog Pic ISO Notched-Edge Method